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中枢神经系统结核:神经放射学检查结果概述

Tuberculosis of the central nervous system: overview of neuroradiological findings.

作者信息

Bernaerts A, Vanhoenacker F M, Parizel P M, Van Goethem J W M, Van Altena R, Laridon A, De Roeck J, Coeman V, De Schepper A M

机构信息

Department of Radiology, University of Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.

出版信息

Eur Radiol. 2003 Aug;13(8):1876-90. doi: 10.1007/s00330-002-1608-7. Epub 2002 Aug 2.

Abstract

This article presents the range of manifestations of tuberculosis (TB) of the craniospinal axis. Central nervous system (CNS) infection with Mycobacterium tuberculosis occurs either in a diffuse form as basal exudative leptomeningitis or in a localized form as tuberculoma, abscess, or cerebritis. In addition to an extensive review of computed tomography and magnetic resonance features, the pathogenesis and the relevant clinical setting are discussed. Modern imaging is a cornerstone in the early diagnosis of CNS tuberculosis and may prevent unnecessary morbidity and mortality. Contrast-enhanced MR imaging is generally considered as the modality of choice in the detection and assessment of CNS tuberculosis.

摘要

本文介绍了颅脊柱轴结核(TB)的表现范围。结核分枝杆菌中枢神经系统(CNS)感染可呈弥漫性形式,如基底渗出性软脑膜炎,也可呈局限性形式,如结核瘤、脓肿或脑炎。除了对计算机断层扫描和磁共振特征进行广泛综述外,还讨论了发病机制和相关临床情况。现代影像学是中枢神经系统结核病早期诊断的基石,可预防不必要的发病和死亡。对比增强磁共振成像通常被认为是检测和评估中枢神经系统结核病的首选方式。

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